task_53Health care and social assistance
All trialsGPT-5.6 TerracodexTrial 03
Trial reward
GPT-5.6 TerraFail
Trial 03 — 4th of 4 by reward score. This model averages 89.1% across 4 trials on this task.
- 11/13Core verifiers passed
- 14/17All verifiers passed
- 2Core failed
- 28Turns
- 16Tool calls
- $0.98Cost
- 14.7mTime
- 51kOutput tokens
Missed 2 of 13 core — unresolved_priority and routine_waitlist_edge_cases, plus 1 secondary.
core (13)
memo_escalationLLMPass
Why it mattersThe escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.
How to passChecks whether the memo presents the correct ranked escalation queue and crisis handling.
Reads
memo_count_consistencyLLMPass
Why it mattersIncorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.
How to passChecks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.
Reads
unresolved_priorityLLMFail
Why it mattersUnresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.
How to passChecks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.
Reads
Failure mode Required Rationale or Authority Statement Omitted
Why it failedThe memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.
Justification
The memo identifies only BH-S5Q2 and BH-E7V1 as the 2 unresolved priority clients, explains BH-E7V1 lacks verified guardian/caregiver authority, and does not reserve P-SUD-7CX, P-SUD-1FZ, or P-YTH-H5L. However, for BH-S5Q2 it states there is no open/unheld Spanish-capable Riverbend SUD slot, not explicitly a Spanish-capable Medicaid SUD slot as required by the rubric.
bridge_outreachLLMPass
Why it mattersBridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.
How to passChecks whether the memo applies the bridge-outreach rule to the correct clients.
Reads
slot_eligibilityLLMPass
Why it mattersSlot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.
How to passChecks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.
Reads
workbook_completenessLLMPass
Why it mattersThe operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.
How to passChecks whether the workbook provides complete client-level coverage for the full batch.
Reads
workbook_routing_accuracyLLMPass
Why it mattersClient-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.
How to passChecks whether the workbook records the correct routing pathway for every client.
Reads
workbook_slot_listLLMPass
Why it mattersOperations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.
How to passChecks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.
Reads
workbook_slot_pairsLLMPass
Why it mattersCorrect client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.
How to passChecks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.
Reads
workbook_outreachLLMPass
Why it mattersOperations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.
How to passChecks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.
Reads
workbook_protected_contactLLMPass
Why it mattersThe workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.
How to passChecks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.
Reads
routine_waitlist_edge_casesLLMFail
Why it mattersThese edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.
How to passChecks whether the workbook correctly resolves the four routine/waitlist edge cases.
Reads
Failure mode Required Rationale or Authority Statement Omitted
Why it failedAll four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
Justification
All four clients are routed to Routine / waitlist with no reserved high-acuity slot, and BH-V9F3, BH-N4A1, and BH-D5H0 state the expected exclusion bases. But BH-A8U2 only says "Two loaded encounters were urgent care/non-behavioral ED; no behavioral-health ED visit remains" and does not explicitly provide the rubric's required urgent-care insomnia reclassification.
memo_protected_contactLLMPass
Why it mattersThe memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.
How to passChecks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.
Reads
secondary (4)
source_hierarchyLLMPass
Why it mattersThe source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.
How to passChecks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.
Reads
scope_controlLLMPass
Why it mattersThe deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.
How to passChecks whether the memo stays within access-routing scope rather than giving clinical treatment advice.
Reads
workbook_exclusionsLLMPass
Why it mattersA strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.
How to passChecks whether the workbook documents why tempting capacity was not usable for unresolved clients.
Reads
side_effectsLLMFail
Why it mattersThe task asks for two reconciliation outputs only, so extra artifacts, policy changes, or capacity releases create unsafe ambiguity and violate the revised deliverable requirement.
How to passChecks whether the memo avoids materially unsolicited operational side effects and extra artifact instructions.
Reads
Failure mode Off-Scope Advice Added
Why it failedThe memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.
Justification
The memo is not confined to the requested reconciliation outputs: it adds a separate "6. Routine / Waitlist Disposition" section and describes an extra artifact beyond the memo ("The chronological slot list is in the workbook" / "The workbook provides..."). While it does avoid using held or QA-pending capacity, those added sections/artifact fail the rubric.
2 deliverables · what this trial produced
Friday Cutover Queue Reconciliation
To: Urgent-Access Lead | Batch review: 2026-05-29 11:40 CT | Prepared for the early-afternoon scheduling huddle
Decision summary: 5 escalations (1 crisis transfer; 4 same-day reviews), 5 priority clients placed into eligible clinical appointments, 2 unresolved priority clients, 4 bridge-outreach flags, and 480 reserved high-acuity clinical minutes.
The access desk reference controlled routing, capacity matching, bridge outreach, payer carve-outs, language/modality, and contact restrictions. Fifteen signed, same-client handoffs finalized within the 09:30–11:40 CT review window were applied; HN-T9Y6-DRAFT was ignored because it is unsigned. Raw triage bands were not used as dispositions.
1. Escalation Queue — Policy Ranking Order
Crisis transfer is listed first, followed by the four same-day triggers in the required A–D order. Only same-day presentations received outpatient reservations.
Rank / client
Final action
Facts driving the action
Scheduling and contact handling
1 — BH-J4K9
Crisis transfer
Signed handoff: current intent, accessible medication stockpile, and medically attended self-harm on 2026-05-27. Mobile-crisis warm transfer accepted.
Do not reserve outpatient access. Exclude from bridge count until post-crisis disposition is known. Client-only contact restriction carries forward.
2 — BH-C3T8
Same-day Trigger A
Current death/self-harm thoughts; medication means considered 18 days ago and still available; no safety plan visible.
Reserve S-ASR-3P1 — East Adult Safety Review, 15:10 CT, 45 min.
3 — BH-P8A4
Same-day Trigger B
Age 16; self-injury 6 days ago; current death/self-harm thoughts.
Reserve S-YSF-A7Q — North Youth Safety Review, 13:05 CT, 45 min. Guardian verification may remain pending for this safety review only.
4 — BH-M2N7
Same-day Trigger C
Command content to step into traffic; signed note documents no intent and no accessible means.
Reserve S-PSY-9D2 — East Psychosis Safety Review, 13:30 CT, 45 min.
5 — BH-L0R6
Same-day Trigger D
Postpartum intrusive infant-harm thoughts; sleep averaging 2.5 hours/night and reliable support not confirmed.
Reserve S-PERI-2B — Central Perinatal Rapid Review, 14:20 CT, 45 min. Spanish-capable telehealth; partner must not be contacted.
2. Priority Access Reservations
Five priority clients can be placed into eligible clinical appointments. These reservations follow the live inventory and all payer, language, modality, consent, and specialty rules.
Client
Reservation (CT)
Why the slot is eligible
Bridge outreach
BH-X1D5
P-PDT-6N4 — 2026-05-31 10:40 — 60 min
Open East post-discharge transition; Riverbend, English, and recent psychiatric-discharge match.
No — before threshold.
BH-R6W8
P-ADT-K3M — 2026-06-01 09:20 — 60 min
Open East adult telehealth; CedarCare is permitted at East and telehealth consent is confirmed.
No — before threshold.
BH-T9Y6
P-ADT-TRI — 2026-06-01 10:15 — 60 min
Open East perinatal-competent telehealth intake; BlueChoice and consent match. Unsigned draft correction was ignored.
No — before threshold.
BH-Z0B4
P-ADT-V4R — 2026-06-02 08:45 — 60 min
Open West in-person adult therapy; Northstar Select explicitly accepted and telehealth is excluded for this batch.
Yes — first clinical contact is after threshold.
BH-Q2T0
P-PER-F8Q — 2026-06-02 10:30 — 60 min
Open Central perinatal follow-up; Riverbend, English, and telehealth consent match.
Yes — first clinical contact is after threshold.
All nine high-acuity reservations (the four same-day slots plus these five priority appointments) are clinical contacts and total 480 reserved minutes. The chronological slot list is in the workbook.
3. Unresolved Priority Clients
Client
Why priority access applies
Why no eligible clinical slot can be reserved
Required next handling
BH-S5Q2
Stable moderate alcohol-withdrawal presentation; signed note requires Spanish clinical care.
No open/unheld Spanish-capable Riverbend SUD clinical slot. P-SUD-7CX matches language/payer but is held for interpreter confirmation; P-SUD-1FZ is English-only and not Riverbend.
Bridge outreach required regardless of appointment timing. Do not release or use held capacity; no appointment is reserved.
BH-E7V1
Youth self-injury about 21 days ago with no current self-harm thoughts.
P-YTH-H5L is otherwise open and matched, but routine/priority youth therapy requires verified guardian/caregiver authority.
Bridge outreach required while authority is verified. Do not reserve youth therapy or use the same-day safety exception.
4. Bridge-Outreach Queue
Bridge outreach is required for four non-crisis priority clients. No additional appointment capacity is implied by these flags.
BH-S5Q2 — stable moderate-withdrawal priority; bridge is required regardless of appointment timing, and no eligible Spanish Riverbend SUD clinical slot is available.
BH-E7V1 — no eligible clinical appointment can be reserved until guardian/caregiver authority is verified.
BH-Z0B4 — reserved clinical contact is 2026-06-02 08:45 CT, after the 2026-06-01 11:40 CT bridge threshold.
BH-Q2T0 — reserved clinical contact is 2026-06-02 10:30 CT, after the bridge threshold.
5. Protected-Contact Caveats
Client
Restriction / verification state
Carry-forward outreach instruction
BH-J4K9
Client-only contact
Do not use ordinary collateral outreach. Crisis disposition is pending; no outpatient appointment may be booked.
BH-P8A4
Guardian authority stale / not verified
School counselor may receive scheduling status only. Same-day youth safety may proceed, but verify guardian before later therapy intake.
BH-L0R6
Partner may not be contacted
Outreach only to the client directly or OB social work. Maintain Spanish clinical-language requirement.
BH-E7V1
Caregiver authority not verified; stepfather restricted
Leave no voicemail or details with stepfather. School counselor may receive scheduling status only.
6. Routine / Waitlist Disposition
No high-acuity reservation or bridge outreach is indicated for BH-V9F3 (active outside behavioral-health care seen that morning), BH-N4A1 (signed clarification rules out command psychosis), BH-A8U2 (loaded encounters reclassified as urgent care/non-behavioral ED), or BH-D5H0 (observation stay did not convert to psychiatric inpatient admission).
Operational Guardrails Applied
No blocked, held, tentative, QA-release-pending, or nonclinical group-orientation capacity was used or counted.
CedarCare was not placed into Central adult therapy; Northstar Select was placed only in an in-person slot; Spanish clinical capacity and telehealth consent were enforced.
The workbook provides the client-level routing record, all capacity dispositions, bridge flags, and the unresolved constraints for operational follow-through.
Summary
| Meadowbrook Behavioral Health Access Services | |||||||
|---|---|---|---|---|---|---|---|
| Friday Cutover Queue Routing Reconciliation — Urgent Access Desk | |||||||
| Batch review timestamp (CT) | 46171.4861111111 | ||||||
| Bridge threshold (CT) | 46174.4861111111 | ||||||
| Handoff acceptance window | 2026-05-29 09:30–11:40 CT | ||||||
| Control hierarchy | Desk reference → signed matching handoff in window → referral export; slot inventory is capacity source. | ||||||
| Operational Summary | |||||||
| Escalation queue (crisis + same-day) | 5 | Handoff treatment | 15 signed same-client notes within review window applied; HN-T9Y6-DRAFT ignored because unsigned. | ||||
| Crisis transfers | 1 | Capacity gate | Blocked, held, tentative, QA-release-pending, and nonclinical orientation rows were not reserved or counted. | ||||
| Same-day clinician reviews | 4 | Bridge rule | Non-crisis priority cases need bridge when no eligible clinical appointment is reserved or first contact is after 2026-06-01 11:40 CT; stable moderate withdrawal always needs bridge. | ||||
| Priority-access clients | 7 | Contact control | Restricted-contact reporting reflects client-only, partner, guardian/caregiver-authority, and collateral limits in the referral/handoff materials. | ||||
| Priority clients with a reserved clinical appointment | 5 | ||||||
| Unresolved priority clients | 2 | ||||||
| Bridge-outreach flags | 4 | ||||||
| Restricted-contact flags | 4 | ||||||
| High-acuity clinical slots reserved | 9 | ||||||
| Reserved clinical minutes | 480 | ||||||
| High-Acuity Clinical Reservations — Chronological | |||||||
| Start (CT) | Slot ID | Client ID | Pathway | Clinical Contact | Minutes | Bridge? | Operational note |
| 46171.5451388889 | S-YSF-A7Q | BH-P8A4 | Same-day | Youth Safety Review | 45 | No | Guardian verification pending is permitted for same-day safety only. |
| 46171.5625 | S-PSY-9D2 | BH-M2N7 | Same-day | Psychosis Safety Review | 45 | No | Command content without intent/means. |
| 46171.5972222222 | S-PERI-2B | BH-L0R6 | Same-day | Perinatal Rapid Review | 45 | No | Spanish-capable; telehealth consent on file. |
| 46171.6319444445 | S-ASR-3P1 | BH-C3T8 | Same-day | Adult Safety Review | 45 | No | Trigger A specialty match. |
| 46173.4444444445 | P-PDT-6N4 | BH-X1D5 | Priority | Post-Discharge Transition | 60 | No | Recent psychiatric-inpatient discharge. |
| 46174.3888888889 | P-ADT-K3M | BH-R6W8 | Priority | Adult Therapy Intake | 60 | No | East CedarCare placement; before bridge threshold. |
| 46174.4270833333 | P-ADT-TRI | BH-T9Y6 | Priority | Perinatal-competent Adult Therapy Intake | 60 | No | Unsigned draft correction ignored. |
| 46175.3645833333 | P-ADT-V4R | BH-Z0B4 | Priority | Adult Therapy Intake | 60 | Yes | Northstar in-person West; bridge outreach required. |
| 46175.4375 | P-PER-F8Q | BH-Q2T0 | Priority | Perinatal Follow-Up | 60 | Yes | First clinical contact after bridge threshold. |
| Protected Contact Caveats | |||||||
| Client ID | Restriction / Verification State | Carry-Forward Instruction | Scheduling Effect | ||||
| BH-J4K9 | Client-only contact | No ordinary collateral outreach; client direct contact only. | Crisis transfer: do not schedule outpatient until crisis disposition is known. | ||||
| BH-P8A4 | Guardian authority stale / not verified | School counselor scheduling status only; verify guardian before therapy intake. | Same-day youth safety may proceed while verification is pending. | ||||
| BH-L0R6 | Partner may not be contacted | Contact client directly or OB social work only; Spanish clinical contact required. | Perinatal same-day slot reserved; retain restriction for all outreach. | ||||
| BH-E7V1 | Caregiver authority not verified; stepfather restricted | No voicemail/details with stepfather; school counselor scheduling status only. | Priority youth therapy cannot be reserved until authority is verified. |
Routing Decisions
| Client-Level Routing Decisions — 2026-05-29 Cutover Queue | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Controlling hierarchy: desk reference → signed matching handoff finalized in 09:30–11:40 CT window → raw referral export. Raw triage bands are not dispositions. | |||||||||||||||||||||||
| Queue Order | Client ID | Referral Source | Authoritative Handoff | Handoff Treatment | Final Access Pathway | Escalation Rank | Priority / Trigger Basis | Payer / Plan | Age | Clinical Language | Telehealth Consent | Guardian / Caregiver Authority | Restricted Contact? | Carry-Forward Outreach Instruction | Eligible-Slot / Capacity Determination | Reserved Slot ID | Scheduled Clinical Contact (CT) | Reserved Clinical Minutes | Reservation Decision | Bridge Outreach Required? | Bridge Reason | Unresolved-Priority Constraint | Capacity / Carve-Out Check |
| 1 | BH-J4K9 | ED callback | HN-J4K9 — SIGNED 11:18 CT | Applied; signed same-client handoff in review window overrides export. | Crisis transfer | 1 — Crisis transfer | Current intent + accessible medication stockpile; medically attended self-harm within 72h. | Riverbend Medicaid MCO | 34 | English | No | N/A | Yes | Client only. No ordinary collateral outreach; crisis disposition controls next access step. | Outpatient capacity not eligible: crisis transfer is routed to mobile crisis/ED. | 0 | No outpatient reservation — crisis transfer | No | Not required | 129 | |||
| 2 | BH-C3T8 | Primary care warm handoff | HN-C3T8 — SIGNED 10:02 CT | Applied; signed same-client handoff in review window confirms current facts. | Same-day clinician review | 2 — Trigger A | Trigger A: current death/self-harm thoughts + medication means considered within 30d + no safety plan. | Riverbend Medicaid MCO | 47 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld adult safety, 18+, Riverbend, English, in-person; matches same-day Trigger A. | S-ASR-3P1 | 46171.6319444445 | 45 | Reserved | No | Not required | 138 | |
| 3 | BH-P8A4 | School referral | HN-P8A4 — SIGNED 10:41 CT | Applied; signed same-client handoff in review window confirms current thoughts and recent NSSI. | Same-day clinician review | 3 — Trigger B | Trigger B: age 16, NSSI 6d ago, and current death/self-harm thoughts. | Riverbend Medicaid MCO | 16 | English | No | Not verified / stale since 2026-05-07 | Yes | Same-day safety may proceed. School counselor may receive scheduling status only; verify guardian before any therapy intake. | Open/unheld youth safety, age 12–17, Riverbend, English. Same-day youth safety permits pending guardian verification. | S-YSF-A7Q | 46171.5451388889 | 45 | Reserved | No | Not required | 147 | |
| 4 | BH-M2N7 | Self referral | HN-M2N7 — SIGNED 10:36 CT | Applied; signed same-client handoff in review window confirms command content without intent/means. | Same-day clinician review | 4 — Trigger C | Trigger C: active command content to step into traffic; client denies intent and accessible means. | Self-pay | 22 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld psychosis safety, 18+, self-pay, English, in-person; matches same-day command-content presentation. | S-PSY-9D2 | 46171.5625 | 45 | Reserved | No | Not required | 155 | |
| 5 | BH-L0R6 | OB clinic | HN-L0R6 — SIGNED 10:58 CT | Applied; signed same-client handoff in review window supplies sleep/support and contact restriction. | Same-day clinician review | 5 — Trigger D | Trigger D: postpartum intrusive infant-harm thoughts + sleep 2.5h/night and no confirmed reliable support. | Riverbend Medicaid MCO | 29 | Spanish required | Yes | N/A | Yes | Do not contact partner. Outreach only to client directly or OB social work; Spanish clinical contact required. | Open/unheld perinatal rapid review, 18+, Riverbend, Spanish-capable, telehealth consent on file. | S-PERI-2B | 46171.5972222222 | 45 | Reserved | No | Not required | 164 | |
| 6 | BH-X1D5 | Inpatient discharge planning | HN-X1D5 — SIGNED 09:55 CT | Applied; signed same-client handoff in review window confirms psychiatric discharge date. | Priority access | — | Psychiatric inpatient discharge 2026-05-24, within 7 calendar days of batch review. | Riverbend Medicaid MCO | 41 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld post-discharge transition, 18+, Riverbend, English; specifically designated for recent inpatient discharge. | P-PDT-6N4 | 46173.4444444445 | 60 | Reserved | No | Not required | 172 | |
| 7 | BH-R6W8 | Self referral | HN-R6W8 — SIGNED 10:50 CT | Applied; signed same-client handoff in review window confirms telehealth consent and Monday acceptance. | Priority access | — | GAD-7 19 + severe functional impairment; no active behavioral-health provider within 72h. | CedarCare Medicaid | 37 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld East adult therapy, 18+, CedarCare, English, telehealth consent on file. East remains eligible under carve-out. | P-ADT-K3M | 46174.3888888889 | 60 | Reserved | No | Not required | 178 | |
| 8 | BH-T9Y6 | OB clinic | HN-T9Y6-DRAFT — DRAFT UNSIGNED 11:35 CT | Ignored; unsigned draft is not an authoritative handoff. Export facts remain controlling. | Priority access | — | GAD-7 19 + severe functional impairment; no active behavioral-health provider within 72h. | BlueChoice PPO | 30 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld East adult-perinatal-competent intake, 18+, BlueChoice, English, telehealth consent on file. | P-ADT-TRI | 46174.4270833333 | 60 | Reserved | No | Not required | 183 | |
| 9 | BH-Z0B4 | Primary care referral | HN-Z0B4 — SIGNED 10:52 CT | Applied; signed same-client handoff in review window confirms West preference and Northstar coverage. | Priority access | — | PHQ-9 22 + severe functional impairment; no active behavioral-health provider within 72h. | Northstar Select | 52 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld West adult therapy, 18+, Northstar explicitly accepted, English, in-person. | P-ADT-V4R | 46175.3645833333 | 60 | Reserved | Yes | First scheduled clinical contact is after bridge threshold | 190 | |
| 10 | BH-Q2T0 | OB clinic | HN-Q2T0 — SIGNED 10:47 CT | Applied; signed same-client handoff in review window confirms no same-day perinatal trigger. | Priority access | — | Postpartum EPDS 17 without same-day perinatal trigger. | Riverbend Medicaid MCO | 31 | English | Yes | N/A | No | Direct client outreach permitted. | Open/unheld Central perinatal follow-up, 18+, Riverbend, English, telehealth consent on file. | P-PER-F8Q | 46175.4375 | 60 | Reserved | Yes | First scheduled clinical contact is after bridge threshold | 195 | |
| 11 | BH-S5Q2 | Primary care warm handoff | HN-S5Q2 — SIGNED 10:24 CT | Applied; signed same-client handoff in review window confirms stable moderate withdrawal and Spanish requirement. | Priority access | — | Stable moderate withdrawal. | Riverbend Medicaid MCO | 58 | Spanish required | Yes | N/A | No | Direct client outreach permitted; Spanish clinical communication required. | No eligible open/unheld Spanish Riverbend SUD clinical slot. Spanish candidate P-SUD-7CX is Hold / interpreter-unconfirmed; open P-SUD-1FZ is English and does not accept Riverbend. | 0 | Unresolved — no eligible clinical slot | Yes | Stable moderate-withdrawal priority: bridge required regardless of appointment timing | Spanish-required Riverbend SUD clinical capacity is unavailable: only matching Spanish candidate is held for interpreter confirmation. | Do not release or use held capacity. Stable moderate-withdrawal priority always requires bridge outreach. | ||
| 12 | BH-E7V1 | School referral | HN-E7V1 — SIGNED 11:05 CT | Applied; signed same-client handoff in review window confirms timing/no current thoughts and authority restrictions. | Priority access | — | Youth self-injury about 21d ago with no current self-harm thoughts. | Riverbend Medicaid MCO | 14 | English | No | Not verified / caregiver conflict | Yes | No voicemail or details with stepfather until authority is confirmed. School counselor may receive scheduling status only. | P-YTH-H5L is open, age/payer/language matched, but priority youth therapy cannot be reserved without verified guardian/caregiver authority. | 0 | Unresolved — no eligible clinical slot | Yes | No eligible clinical appointment can be reserved | Verified guardian/caregiver authority is required before an otherwise open youth therapy intake can be reserved. | Not a same-day youth-safety presentation; do not use youth-safety consent exception. | ||
| 13 | BH-V9F3 | Primary care referral | HN-V9F3 — SIGNED 10:44 CT | Applied; signed same-client handoff in review window confirms active outside care and no acute concerns. | Routine / waitlist | — | High symptom score is covered by outside therapist seen at 08:15 today; existing psychiatrist and safety plan documented. | Northstar Select | 27 | English | Yes | N/A | No | Direct client outreach permitted. | No high-acuity booking: routine/waitlist per active-provider exception. | 0 | No high-acuity reservation — routine/waitlist | No | Not required | 218 | |||
| 14 | BH-N4A1 | Primary care referral | HN-N4A1 — SIGNED 10:12 CT | Applied; signed same-client handoff in review window corrects raw psychosis checkbox. | Routine / waitlist | — | Signed clarification: tinnitus/progressive hearing loss, not hallucinations or command content; no acute trigger. | Riverbend Medicaid MCO | 63 | English | No | N/A | No | Direct client outreach permitted. | No high-acuity booking: routine/waitlist. | 0 | No high-acuity reservation — routine/waitlist | No | Not required | 224 | |||
| 15 | BH-A8U2 | ED follow-up queue | HN-A8U2 — SIGNED 10:32 CT | Applied; signed same-client handoff in review window corrects loaded ED-utilization field. | Routine / waitlist | — | Two loaded encounters were urgent care/non-behavioral ED; no behavioral-health ED visit remains and no current decompensation. | Riverbend Medicaid MCO | 45 | English | Yes | N/A | No | Direct client outreach permitted. | No high-acuity booking: routine/waitlist. | 0 | No high-acuity reservation — routine/waitlist | No | Not required | 230 | |||
| 16 | BH-D5H0 | ED observation follow-up | HN-D5H0 — SIGNED 09:49 CT | Applied; signed same-client handoff in review window confirms no psychiatric inpatient admission. | Routine / waitlist | — | ED observation did not convert to psychiatric inpatient discharge; no current intent or functional deterioration. | County Access Safety Net | 19 | English | No | N/A | No | Direct client outreach permitted. | No high-acuity booking: routine/waitlist; County Access is limited to same-day safety or post-crisis follow-up. | 0 | No high-acuity reservation — routine/waitlist | No | Not required | 238 |
Slot Inventory Review
| Slot Inventory Review — Capacity Used, Excluded, and Left Unassigned | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Only Open slots with blank hold codes were eligible. Payer, language, telehealth, consent, and youth-authority rules from the desk reference override inventory comments. | ||||||||||
| Slot ID | Start (CT) | Site / Delivery | Program | Clinical Contact Classification | Slot Minutes | Status / Hold | Capacity Disposition | Assigned Client | Reserved Clinical Minutes | Operational Eligibility / Decision |
| S-YSF-A7Q | 46171.5451388889 | North / In-person | Youth Safety Review | Clinical same-day safety | 45 | Open / blank hold | Reserved | BH-P8A4 | 45 | |
| S-PSY-9D2 | 46171.5625 | East / In-person | Psychosis Safety Review | Clinical same-day safety | 45 | Open / blank hold | Reserved | BH-M2N7 | 45 | |
| S-PERI-2B | 46171.5972222222 | Central / Telehealth | Perinatal Rapid Review | Clinical same-day safety | 45 | Open / blank hold | Reserved | BH-L0R6 | 45 | |
| S-ASR-3P1 | 46171.6319444445 | East / In-person | Adult Safety Review | Clinical same-day safety | 45 | Open / blank hold | Reserved | BH-C3T8 | 45 | |
| S-ASR-HOLD-8MV | 46171.6666666667 | East / In-person | Adult Safety Review | Clinical same-day safety | 45 | QA release pending / MIGRATION-HOLD | Excluded — not available | 0 | ||
| P-SUD-1FZ | 46173.375 | Telehealth | SUD Nurse Bridge | Clinical bridge contact | 30 | Open / blank hold | Available — no current match | 0 | ||
| P-SUD-7CX | 46172.5104166667 | Telehealth | SUD Nurse Bridge | Clinical bridge contact | 30 | Hold / INTERPRETER-UNCONFIRMED | Excluded — not available | 0 | ||
| P-PDT-6N4 | 46173.4444444445 | East / In-person | Post-Discharge Transition | Clinical intake | 60 | Open / blank hold | Reserved | BH-X1D5 | 60 | |
| P-ADT-CEN-5QW | 46173.5416666667 | Central / Telehealth | Adult Therapy Intake | Clinical intake | 60 | Open / blank hold | Available — no current match | 0 | ||
| P-ADT-K3M | 46174.3888888889 | East / Telehealth | Adult Therapy Intake | Clinical intake | 60 | Open / blank hold | Reserved | BH-R6W8 | 60 | |
| P-ADT-TRI | 46174.4270833333 | East / Telehealth | Adult Therapy Intake — Perinatal Competent | Clinical intake | 60 | Open / blank hold | Reserved | BH-T9Y6 | 60 | |
| P-GRP-4MJ | 46174.5833333333 | West / In-person | Skills Group Orientation | Nonclinical orientation | 90 | Open / blank hold | Excluded — nonclinical | 0 | ||
| P-ADT-V4R | 46175.3645833333 | West / In-person | Adult Therapy Intake | Clinical intake | 60 | Open / blank hold | Reserved | BH-Z0B4 | 60 | |
| P-PER-F8Q | 46175.4375 | Central / Telehealth | Perinatal Follow-Up | Clinical intake | 60 | Open / blank hold | Reserved | BH-Q2T0 | 60 | |
| P-YTH-H5L | 46176.6527777778 | North / In-person | Youth Therapy Intake | Clinical intake | 60 | Open / blank hold | Available — cannot reserve yet | 0 | ||
| P-POST-HLD-6R2 | 46172.3472222222 | East / In-person | Post-Discharge Transition | Clinical intake | 60 | Tentative / ED-CALLBACK-RESERVE | Excluded — not available | 0 |
User prompt → 28 turns · 16 tool calls → final responsecodex
1systemskills instructions · Skills A skill is a set of instructions provided through a SKILL.md source. Below is the list of s…
skills instructions
Skills
A skill is a set of instructions provided through a
SKILL.mdsource. Below is the list of skills that can be used. Each entry includes a name, description, and source locator.filelocators are on the host filesystem,executor packagelocators are owned by their execution environment,orchestrator packagelocators are opaque package identifiers, andcustom resourcelocators use their provider's access mechanism.Available skills
- imagegen: Generate or edit raster images when the task benefits from AI-created bitmap visuals such as photos, illustrations, textures, sprites, mockups, or transparent-background cutouts. Use when Codex should create a brand-new image, transform an existing image, or derive visual variants from references, and the output should be a bitmap asset rather than repo-native code or vector. Do not use when the task is better handled by editing existing SVG/vector/code-native assets, extending an established icon or logo system, or building the visual directly in HTML/CSS/canvas. (file: /tmp/codex-home/skills/.system/imagegen/SKILL.md)
- openai-docs: Use for Codex models/pricing, scheduled tasks, skills, settings, setup, troubleshooting, customization, automations, and self-knowledge—including 'you,' 'your,' 'this app,' or 'this coding agent' when they refer to Codex—and for OpenAI APIs/products and ChatGPT Work. Also use for model choice/migration, prompting, SDKs, Responses, Realtime, agents, evals, and Chat/Work/Codex comparisons. Do not use for generic app/software tasks that merely mention Codex. (file: /tmp/codex-home/skills/.system/openai-docs/SKILL.md)
- plugin-creator: Create and scaffold plugin directories for Codex with a required
.codex-plugin/plugin.json, optional plugin folders/files, valid manifest defaults, and personal-marketplace entries by default. Use when Codex needs to create a new personal plugin, add optional plugin structure, generate or update marketplace entries for plugi
… 3,403 more characters in the raw trajectory.
2systemYou are /root, the primary agent in a team of agents collaborating to fulfill the user's goals. At the start of your tur…
You are
/root, the primary agent in a team of agents collaborating to fulfill the user's goals.At the start of your turn, you are the active agent.
You can spawn sub-agents to handle subtasks, and those sub-agents can spawn their own sub-agents.
All agents in the team, including the agents that you can assign tasks to, are equally intelligent and capable, and have access to the same set of tools.You can use
spawn_agentto create a new agent,followup_taskto give an existing agent a new task and trigger a turn, andsend_messageto pass a message to a running agent without triggering a turn.
Child agents can also spawn their own sub-agents.
You can decide how much context you want to propagate to your sub-agents with thefork_turnsparameter.You will receive messages in the analysis channel in the form:
Message Type: MESSAGE | FINAL_ANSWER Task name: <recipient> Sender: <author> Payload: <payload text>They may be addressed as to=/root
Note that collaboration tools cannot be called from inside
functions.exec. Callspawn_agent,send_message,followup_task,wait_agent,interrupt_agent, andlist_agentsonly as direct tool calls using the recipient shown in their tool definitions, such asto=functions.collaboration.spawn_agent, since they are intentionally absent from thefunctions.exectools.*namespace. Available tools infunctions.execare explicitly described with atoolsnamespace in the developer message.All agents share the same directory. In detail:
- All agents have access to the same container and filesystem as you.
- All agents use the same current working directory.
- As a result, edits made by one agent are immediately visible to all other agents.
When calling
wait_agent, prefer longer waits (minutes) to avoid busy polling.There are 4 available concurrency slots, meaning that up to 4 agents can be active at once, including you.
Full-history forks (
fork_turnsomitted or"all") inherit the parent mod… 264 more characters in the raw trajectory.
3systemmulti agent mode · Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub…
multi agent mode
Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub-agents unless the user or applicable AGENTS.md/skill instructions explicitly ask for sub-agents, delegation, or parallel agent work.
4userenvironment context · /workspace bash 2026-08-20 Etc/UTC /workspace
environment context
- cwd
- /workspace
- shell
- bash
- current date
- 2026-08-20
- timezone
- Etc/UTC
- root
- /workspace
5userYou are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue…
You are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue before the early-afternoon scheduling huddle. The EHR migration left a mixed behavioral-health referral batch in the access desk: primary-care referrals, school and obstetric handoffs, ED and observation follow-ups, inpatient discharge follow-ups, and self-referrals. Using the attached access desk reference, referral export, signed care-coordination notes, and slot inventory, determine which clients need escalation before ordinary scheduling, which priority clients can be placed into eligible appointments, which priority clients remain unresolved because no eligible clinical slot can be reserved, and which contact restrictions must be carried forward for outreach.
Work only from the attached materials. Treat the access desk reference/capacity rules as controlling for routing, slot eligibility, bridge outreach, payer carve-outs, language/modality requirements, and contact restrictions. Treat a signed care-coordination handoff as authoritative over the raw referral export only when it identifies the same client and is finalized within the 2026-05-29 09:30-11:40 CT batch-review window; ignore draft or unsigned notes. Do not treat raw triage bands as dispositions, do not infer diagnoses, do not recommend medications, and do not invent appointment capacity. Do not use blocked, tentative, held, or QA-release-pending slots. Do not override payer, telehealth, language, guardian/caregiver authority, or collateral-contact restrictions. When facts point to more than one pathway, use the highest-action pathway supported by the attached rules and state any remaining scheduling or contact constraint.
Produce exactly two deliverables in
/workspace/output/:access_reconciliation_memo.docx- a structured memo for the urgent-access lead summarizing the escalation queue, slot reservations, unresolved priority cases, bridge-outreach needs, and protected-conta
… 404 more characters in the raw trajectory.
6I’ll reconcile the batch against the controlling access rules, then produce only the requested memo and operations workb…
I’ll reconcile the batch against the controlling access rules, then produce only the requested memo and operations workbook. I’m using the document and spreadsheet workflows so the final files preserve the required structure and audit trail.
7Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"pwd && rg --files -g '!*output*' -g '!output/**' | sed -n '1,240p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}), tools.exec_command({"cmd":"sed -n '1,260p' /root/.agents/skills/docx/SKILL.md && printf '\\n--- XLSX SKILL ---\\n' && sed -n '1,320p' /root/.agents/skills/xlsx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}) ]); text(r.map(x=>x.output).join("\n\n--- COMMAND ---\n\n"));Output
Script completed Wall time 0.2 seconds Output: /workspace data/slot_inventory_and_roster.xlsx data/signed_clinical_handoff_packet.docx data/referral_batch_export.xlsx data/access_services_rules_cutover_queue.pdf --- COMMAND --- --- name: docx description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks for a 'report', 'memo', 'letter', 'template', or similar deliverable as a
… 20,543 more characters of output in the raw trajectory.
8The controlling access rules are in a PDF, so I’m also applying the PDF workflow to extract and verify those rules befor…
The controlling access rules are in a PDF, so I’m also applying the PDF workflow to extract and verify those rules before making any routing decisions.
9Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"wc -l /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/pdf/SKILL.md && sed -n '261,620p' /root/.agents/skills/docx/SKILL.md && printf '\\n--- PDF SKILL ---\\n' && sed -n '1,520p' /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}), tools.exec_command({"cmd":"find /workspace/data -maxdepth 1 -type f -printf '%f\\n' | sort && find /workspace/output -maxdepth 1 -type f -printf '%f\\n' 2>/dev/null || true"… 153 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.1 seconds Output: 590 /root/.agents/skills/docx/SKILL.md 291 /root/.agents/skills/xlsx/SKILL.md 314 /root/.agents/skills/pdf/SKILL.md 1195 total new Bookmark({ id: "chapter1", children: [new TextRun("Chapter 1")] }), ]}) // 2. Link to it new Paragraph({ children: [new InternalHyperlink({ children: [new TextRun({ text: "See Chapter 1", style: "Hyperlink" })], anchor: "chapter1", })]}) ``` ### Footnotes ```javascript const doc = new Document({ footnotes: { 1: { children: [new Paragraph("Source: Annual Report 2024")] }, 2: { children: [new Paragraph("See appendix for methodology")] }, }, sections: [{ children: [new Paragraph({ children: [ new TextRun("Revenue grew 15%"), new FootnoteReferenceRun(1), new TextRun(" using adjusted metrics"), new FootnoteReferenceRun(2), ], })] }]… 19,125 more characters of output in the raw trajectory.
10I’ve confirmed there are four source files and no pre-existing output files. I’m now extracting the rules, referrals, si…
I’ve confirmed there are four source files and no pre-existing output files. I’m now extracting the rules, referrals, signed handoffs, and live slot inventory to build the client-level reconciliation from the authoritative sources.
11Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"pdfinfo data/access_services_rules_cutover_queue.pdf && pdftotext -layout data/access_services_rules_cutover_queue.pdf -","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}), tools.exec_command({"cmd":"pandoc --track-changes=all data/signed_clinical_handoff_packet.docx -t plain","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}), tools.exec_command({"cmd":"python - <<'PY'\nimport pandas as pd\nfor path in ['data/referral_batch_export.xlsx','data/sl… 522 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.6 seconds Output: Title: (anonymous) Subject: (unspecified) Keywords: Author: (anonymous) Creator: (unspecified) Producer: ReportLab PDF Library - (opensource) CreationDate: Mon Jun 8 23:50:49 2026 UTC ModDate: Mon Jun 8 23:50:49 2026 UTC Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 2 Encrypted: no Page size: 612 x 792 pts (letter) Page rot: 0 File size: 7822 bytes Optimized: no PDF version: 1.4 Meadowbrook Behavioral Health Access Services Cutover Queue Desk Reference - Urgent Access, Capacity, and Contact Handling Document ID ACC-UR-0529-CUTOVER Applies to EHR cutover referrals reviewed 2026-05-2… 36,075 more characters of output in the raw trajectory.
12Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"python - <<'PY'\nfrom docx import Document\np='data/signed_clinical_handoff_packet.docx'\ndoc=Document(p)\nprint('PARAGRAPHS')\nfor i, para in enumerate(doc.paragraphs):\n t=para.text.strip()\n if t:\n print(f'P{i}: {t}')\nprint('\\nTABLES',len(doc.tables))\nfor ti, table in enumerate(doc.tables):\n print(f'\\nTABLE {ti}: {len(table.rows)} rows x {len(table.columns)} cols')\n for ri,row in enumerate(table.rows):\n print(' | '.join(cell.text.replace('\\n',' / ') for cell in row.… 1,452 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.3 seconds Output: PARAGRAPHS P0: Access Services Care-Coordination Notes Packet P1: Cutover queue review window: 2026-05-29 09:30-11:40 CT | Service line: urgent access desk P2: Finalized notes below may update the cutover referral export when the client identifier matches. Draft or unsigned notes are attachment carryover only and are not finalized clinical handoffs for routing. P4: End of packet. TABLES 2 TABLE 0: 13 rows x 2 cols Note metadata | Care-coordination note Note ID: HN-J4K9 / Client ID: BH-J4K9 / Status: SIGNED 2026-05-29 11:18 CT / Origin: LCSW ED callback | Client stated intent to act tonight and described medication stockpile at home as accessible means. Urgent-care record from 2026-05-27 shows medically attended self-harm laceration. Mobile crisis warm transfer was accepted during call. Do not place into outpatient access until crisis disposition is known.
… 5,511 more characters of output in the raw trajectory.
13The reconciliation is now determined: 5 escalations (1 crisis transfer and 4 same-day reviews), 5 reservable priority ca…
The reconciliation is now determined: 5 escalations (1 crisis transfer and 4 same-day reviews), 5 reservable priority cases, 2 unresolved priority cases, and 4 bridge-outreach flags. I’m building the memo and workbook with the source hierarchy, slot controls, and contact restrictions carried into each client record.
14Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"node -e \"try{const d=require('docx'); console.log('docx available', require('docx/package.json').version)}catch(e){console.error('docx unavailable:',e.message); process.exit(1)}\"; command -v libreoffice || true; command -v soffice || true; command -v python","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}), tools.exec_command({"cmd":"rg --files /root/.agents /tmp/codex-home /workspace 2>/dev/null | rg '(^|/)(validate\\.py|recalc\\.py|soffice\\.py|unpack\\.py)$' | sed -n… 684 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: docx unavailable: Cannot find module 'docx' Require stack: - /workspace/[eval] /usr/bin/libreoffice /usr/bin/soffice /usr/local/bin/python ========== /root/.agents/skills/xlsx/scripts/recalc.py /root/.agents/skills/xlsx/scripts/office/soffice.py /root/.agents/skills/xlsx/scripts/office/validate.py /root/.agents/skills/docx/scripts/office/soffice.py /root/.agents/skills/docx/scripts/office/validate.py /root/.agents/skills/xlsx/scripts/office/unpack.py /root/.agents/skills/docx/scripts/office/unpack.py ========== data/referral_batch_export.xlsx Referral_Export tables ['ReferralExportTable'] max 17 30 merged [] Batch_Context tables ['BatchContextTable'] max 7 2 merged [] Extract_Control tables [] max 7 2 merged [] data/slot_inventory_and_roster.xlsx Open_Slot_Inventory tables ['OpenSlotInventoryTable'] max 17 15 merged [] Capacit
… 122 more characters of output in the raw trajectory.
15Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"mkdir -p /tmp/mbh-docx-builder && npm install --prefix /tmp/mbh-docx-builder docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}), tools.update_plan({explanation:"Applying the controlling desk reference and signed-handoff hierarchy before generating the two requested deliverables.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"in_progre… 269 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.7 seconds Output: chunk_id: c532aa wall_time_seconds: 1.515319936 exit_code: 0 original_token_count: 22 output: | added 22 packages in 2s 1 package is looking for funding run `npm fund` for details {}16exec1
Tool execution only — no assistant text
execconst patch = "*** Begin Patch\n*** Add File: /tmp/build_mbh_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+BLUE = 'D9EAF7'\n+TEAL =
Arguments
const patch = "*** Begin Patch\n*** Add File: /tmp/build_mbh_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+BLUE = 'D9EAF7'\n+TEAL =… 40,475 more characters of arguments in the raw trajectory.
Output
Script failed Wall time 0.0 seconds Output: Script error: apply_patch verification failed: invalid hunk at line 369, 'routing.conditional_formatting.add(f'U5:U{4 + len(routes)}', FormulaRule(formula=['U5="Yes"'], fill=PatternFill('solid', fgColor=AMBER)))' is not a valid hunk header. Valid hunk headers: '*** Add File: {path}', '*** Delete File: {path}', '*** Update File: {path}'17exec1
Tool execution only — no assistant text
execconst content = String.raw`from datetime import datetime from pathlib import Path from openpyxl import Workbook from openpyxl.formatting.rule import FormulaRule from openpyxl.styles import Alignment, Border, Font, PatternFill, Side from openpyxl.utils import get_column_letter from openpyxl.worksheet.table import Table, TableStyleInfo OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx') OUT.parent.mkdir(parents=True, exist_ok=True) NAVY = '1F4E78' BLUE = 'D9EAF7' TEAL = 'DDEBF7' GREEN = 'E2F0D9' AMBER = 'FFF2CC' ORANGE = 'FCE4D6' RED = 'F4CCCC'
Arguments
const content = String.raw`from datetime import datetime from pathlib import Path from openpyxl import Workbook from openpyxl.formatting.rule import FormulaRule from openpyxl.styles import Alignment, Border, Font, PatternFill, Side from openpyxl.utils import get_column_letter from openpyxl.worksheet.table import Table, TableStyleInfo OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx') OUT.parent.mkdir(parents=True, exist_ok=True) NAVY = '1F4E78' BLUE = 'D9EAF7' TEAL = 'DDEBF7' GREEN = 'E2F0D9' AMBER = 'FFF2CC' ORANGE = 'FCE4D6' RED = 'F4CCCC'… 39,170 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}18Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python /tmp/build_mbh_workbook.py && ls -l output && python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 4.1 seconds Output: /workspace/output/routing_reconciliation_workbook.xlsx total 20 -rw-r--r-- 1 root root 20184 Aug 20 01:59 routing_reconciliation_workbook.xlsx { "status": "success", "total_errors": 0, "error_summary": {}, "total_formulas": 74 }19Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='output/routing_reconciliation_workbook.xlsx'\nfor data_only in (False, True):\n wb=load_workbook(p, data_only=data_only)\n print('DATA_ONLY',data_only,'sheets',wb.sheetnames)\n ws=wb['Summary']\n print('summary metrics:', [(ws.cell(r,1).value,ws.cell(r,2).value) for r in range(10,20)])\n rd=wb['Routing Decisions']\n print('routes:', [(rd.cell(r,2).value,rd.cell(r,6).value,rd.cell(r,17).value,rd.cell(r,18).value,rd.cell(r,20).value,rd.cell(r,21).value) for r… 275 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: DATA_ONLY False sheets ['Summary', 'Routing Decisions', 'Slot Inventory Review'] summary metrics: [('Escalation queue (crisis + same-day)', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Crisis transfer")+COUNTIF(\'Routing Decisions\'!$F:$F,"Same-day clinician review")'), ('Crisis transfers', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Crisis transfer")'), ('Same-day clinician reviews', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Same-day clinician review")'), ('Priority-access clients', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Priority access")'), ('Priority clients with a reserved clinical appointment', '=COUNTIFS(\'Routing Decisions\'!$F:$F,"Priority access",\'Routing Decisions\'!$T:$T,"Reserved")'), ('Unresolved priority clients', '=COUNTIF(\'Routing Decisions\'!$T:$T,"Unresolved — no eligible clinical slot")'), ('Bridge-… 12,237 more characters of output in the raw trajectory.
20The workbook is complete and formula-checked with zero errors. I’m generating the lead memo now, using the same reconcil…
The workbook is complete and formula-checked with zero errors. I’m generating the lead memo now, using the same reconciled decisions and explicitly preserving the no-contact, language, payer, and capacity constraints.
21exec1
Tool execution only — no assistant text
execconst content = String.raw`const fs = require('fs'); const { AlignmentType, BorderStyle, Document, Footer, Header, HeadingLevel, LevelFormat, PageNumber, Packer, Paragraph, ShadingType, Table, TableCell, TableRow, TextRun, VerticalAlign, WidthType, TabStopType, TabStopPosition, } = require('/tmp/mbh-docx-builder/node_modules/docx'); const output = '/workspace/output/access_reconciliation_memo.docx'; const CONTENT_WIDTH = 10800; const COLORS = { navy: '1F4E78', blue: 'D9EAF7', green: 'E2F0D9', amber: 'FFF2CC',
Arguments
const content = String.raw`const fs = require('fs'); const { AlignmentType, BorderStyle, Document, Footer, Header, HeadingLevel, LevelFormat, PageNumber, Packer, Paragraph, ShadingType, Table, TableCell, TableRow, TextRun, VerticalAlign, WidthType, TabStopType, TabStopPosition, } = require('/tmp/mbh-docx-builder/node_modules/docx'); const output = '/workspace/output/access_reconciliation_memo.docx'; const CONTENT_WIDTH = 10800; const COLORS = { navy: '1F4E78', blue: 'D9EAF7', green: 'E2F0D9', amber: 'FFF2CC',… 15,805 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}22Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"node /tmp/build_mbh_memo.js && ls -lh output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000}); text(r.output);Output
Script completed Wall time 1.8 seconds Output: /workspace/output/access_reconciliation_memo.docx -rw-r--r-- 1 root root 15K Aug 20 02:00 output/access_reconciliation_memo.docx Paragraphs: 0 → 98 (+98) All validations PASSED!
23The memo has passed structural DOCX validation. I’m doing a final visual pass and verifying the final folder contains on…
The memo has passed structural DOCX validation. I’m doing a final visual pass and verifying the final folder contains only the two requested deliverables.
24Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await tools.exec_command({"cmd":"render_dir=$(mktemp -d /tmp/mbh-memo-render.XXXXXX) && libreoffice --headless --convert-to pdf --outdir \"$render_dir\" output/access_reconciliation_memo.docx >/tmp/mbh-lo.out 2>/tmp/mbh-lo.err && pdfinfo \"$render_dir/access_reconciliation_memo.pdf\" | rg 'Pages|Page size' && pdftoppm -png -r 120 \"$render_dir/access_reconciliation_memo.pdf\" \"$render_dir/page\" && find \"$render_dir\" -maxdepth 1 -type f -printf '%f\\n' | sort && printf '%s\\n' \"$render_dir\"","workdir":"/workspace","yield_time_ms":3… 54 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 1.9 seconds Output: Pages: 2 Page size: 612 x 792 pts (letter) access_reconciliation_memo.pdf page-1.png page-2.png /tmp/mbh-memo-render.WVxYbr
25exec1
Tool execution only — no assistant text
execconst imgs = await Promise.all([ tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-1.png","detail":"high"}), tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-2.png","detail":"high"}) ]); for (const img of imgs) image(img.image_url, img.detail);
Arguments
const imgs = await Promise.all([ tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-1.png","detail":"high"}), tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-2.png","detail":"high"}) ]); for (const img of imgs) image(img.image_url, img.detail);Output
Script completed Wall time 0.0 seconds Output:
… 997,162 more characters of output in the raw trajectory.
26Shell1
Tool execution only — no assistant text
Shellvia exec
Arguments
const r = await Promise.all([ tools.exec_command({"cmd":"find output -maxdepth 1 -type f -printf '%f\\n' | sort && python - <<'PY'\nfrom pathlib import Path\nimport zipfile\nfor path in sorted(Path('output').glob('*')):\n with zipfile.ZipFile(path) as z:\n print(path.name, 'zip_integrity=', z.testzip() or 'ok', 'entries=', len(z.namelist()))\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}), tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='output/routing_reconciliation_workbook.xlsx… 757 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.6 seconds Output: access_reconciliation_memo.docx routing_reconciliation_workbook.xlsx access_reconciliation_memo.docx zip_integrity= ok entries= 26 routing_reconciliation_workbook.xlsx zip_integrity= ok entries= 19 Workbook summary verified: {'Escalation queue (crisis + same-day)': 5, 'Crisis transfers': 1, 'Same-day clinician reviews': 4, 'Priority-access clients': 7, 'Priority clients with a reserved clinical appointment': 5, 'Unresolved priority clients': 2, 'Bridge-outreach flags': 4, 'Restricted-contact flags': 4, 'High-acuity clinical slots reserved': 9, 'Reserved clinical minutes': 480}27exec1
Tool execution only — no assistant text
execconst result = await tools.update_plan({explanation:"Both requested deliverables were created, structurally checked, formula-recalculated, and visually reviewed.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"completed"},{step:"Create urgent-access reconciliation memo","status":"completed"},{step:"Validate both final deliverables and confirm output folder contents","status":"completed"}]}); text(typeof result === "string
Arguments
const result = await tools.update_plan({explanation:"Both requested deliverables were created, structurally checked, formula-recalculated, and visually reviewed.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"completed"},{step:"Create urgent-access reconciliation memo","status":"completed"},{step:"Validate both final deliverables and confirm output folder contents","status":"completed"}]}); text(typeof result === "string… 40 more characters of arguments in the raw trajectory.
Output
Script completed Wall time 0.0 seconds Output: {}28Completed and validated the two requested deliverables: - [Access reconciliation memo](/workspace/output/access_reconcil…
Completed and validated the two requested deliverables:
- Access reconciliation memo
- Routing reconciliation workbook
Summary: 5 escalations (1 crisis, 4 same-day), 5 placed priority clients, 2 unresolved priority clients, 4 bridge-outreach flags, and 480 reserved clinical minutes.
2 failure modes across 3 verifier failures
1Required Rationale or Authority Statement OmittedView on Failure Modes ↗Presentation and Communication2 failures
Description
Is the underlying decision correct or substantially present, but the memo fails to state a required rule hierarchy, source-governance principle, item-specific reason, signed-term basis, or operating condition?
Failure evidence · per affected verifier
The memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.
All four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.
2Off-Scope Advice AddedView on Failure Modes ↗Presentation and Communication1 failure
Description
With the requested reconciliation or analysis otherwise present, does the final communication add unrequested clinical, treatment, monitoring, referral, release, or operational workflow directives?
Failure evidence · per affected verifier
The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.